| Sam Cosentino Dds Pc | |
|
5212 108th St Corona NY 11368-3335 | |
| (718) 271-3100 | |
| (718) 271-3100 |
| Full Name | Sam Cosentino Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5212 108th St, Corona, New York |
| Authorized Official Name and Position | Sam L Cosentino (DENTIST) |
| Authorized Official Contact | 7182713100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Cosentino Dds Pc 5212 108th St Corona NY 11368-3335 Ph: (718) 271-3100 | Sam Cosentino Dds Pc 5212 108th St Corona NY 11368-3335 Ph: (718) 271-3100 |
| NPI Number | 1841578523 |
|---|---|
| Provider Enumeration Date | 07/28/2011 |
| Last Update Date | 07/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841578523 | NPI | - | NPPES |
| 00875085 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 038773 (New York) | Primary |
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